Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.55 / $11.22	Facility	26	$8.32	$9.55	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $112.20	Professional		$21.88	$33.88	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $18.20	Professional	26	$6.03	$7.94	$18.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $38.02	Professional	TC	$15.14	$22.91	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $60.26	Professional		$25.70	$35.48	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $18.62	Professional	26	$6.92	$10.47	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $41.69	Professional	TC	$18.62	$24.55	$41.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $48.98	Professional		$31.62	$48.98	$48.98
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.96 / $11.48	Professional	26	$10.72	$10.96	$11.48
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $37.15	Professional	TC	$35.48	$35.48	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $52.48	Professional		$40.74	$44.67	$52.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.23 / $12.02	Professional	26	$9.33	$10.23	$12.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $34.67 / $39.81	Professional	TC	$31.62	$34.67	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $64.57	Professional		$38.02	$41.69	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.22 / $16.22	Professional	26	$9.33	$11.22	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $29.51 / $46.77	Professional	TC	$26.92	$29.51	$46.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $63.10	Professional		$33.11	$53.70	$63.10
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $18.62	Professional	26	$9.33	$12.30	$18.62
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $40.74 / $46.77	Professional	TC	$24.55	$40.74	$46.77